Fee Schedule

Evaluation & Management                                                                                                                                               

99202   New Patient Expanded Exam               $186.00

99203   New Patient Detailed Exam                   $305.00

99204   New Patient Complex Exam                  $400.00 

99211    Office Exam - Minimal                            $61.00

99212    Office Exam - Problem Focused           $96.00

99213    Office Exam - Extended                          $180.00

99214    Office Exam - Detailed                            $265.00

 

Medical Services and Procedures

29200   Therapeutic Taping                                  $45.00

97012    Traction                                                     $40.00

97014   Muscle Stimulation each 15 Min.          $35.00

97124    Manual Therapy each 15 Min .              $65.00

97140   Soft Tissue Techniques each 15 Min.   $65.00

98940   Spinal Manipulation 1-2 Regions           $60.00

98941   Spinal Manipulation 3-4 Regions           $80.00

98943   Extremity Manipulation                            $55.00

A4452   Kinesiotape Per Inch                                $1.00

L3020   Custom Orthotic Insole (per foot)         $230.00

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

You can review costs at the Alaska Department of Health and Social Services Health Care Cost Transparency website at https://dhss.alaska.gov/dph/VitalStats/Pages/transparency.aspx

 CPT® Copyright 2022. American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The CPT codes are provided "as is" without warranty of any kind. The AMA specifically disclaims all liability for use or accuracy of any CPT codes.

Updated 1-31-2022


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